| NPI | 1730344490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MOSS Managing Member 609-220-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ PT40QA00500500) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-10-24 |